Individual
MRS. LINDA LEE PARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
41 6TH AVE, GREENVILLE, PA 16125-9723
(724) 588-3330
Mailing address
660 ANDERSON RD, STONEBORO, PA 16153-2920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE004059L
PA
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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